Optical trocar assembly

ABSTRACT

A cannula assembly configured to receive a surgical instrument therethrough includes an elongated body portion, a housing coupled to a proximal end portion of the elongated body portion, and an annular-shaped light member. The housing defines a longitudinally-extending channel therethrough dimensioned for passage of the surgical instrument. The light member is disposed within the housing and about the channel.

CROSS-REFERENCE TO RELATED APPLICATION

This application is a continuation application of U.S. patentapplication Ser. No. 16/167,625, filed on Oct. 23, 2018, the entirecontents of which being incorporate by reference herein.

BACKGROUND Technical Field

The present disclosure relates to a trocar assembly for use in minimallyinvasive surgical procedures, such as endoscopic or laparoscopic typeprocedures.

Background of Related Art

Minimally invasive procedures are continually increasing in number andvariation. Forming a relatively small diameter temporary pathway to thesurgical site is a key feature of most minimally invasive surgicalprocedures. The most common method of providing such a pathway is byinserting a trocar assembly through the skin. Trocar assemblies withseal mechanisms may be utilized to provide the necessary pathway to thesurgical site while minimizing leakage of insufflation gases.

Trocar assemblies typically include an obturator and a cannula. Thecannula, having the obturator inserted therethrough, is directed throughthe skin to access a body cavity. Once the body cavity is accessed andsubsequent to removal of the obturator from the cannula, laparoscopic orarthroscopic surgery and endoscopic procedures may be performed. Withthe cannula providing access to the body cavity, a surgical instrument(e.g., an endoscope or a laparoscope) may be guided into the body cavitythrough the cannula.

SUMMARY

In an aspect of the present disclosure, a cannula assembly configured toreceive a surgical instrument therethrough is provided. The cannulaassembly includes an elongated body portion, a housing coupled to aproximal end portion of the elongated body portion, and anannular-shaped light member. The housing defines alongitudinally-extending channel therethrough dimensioned for passage ofa surgical instrument. The light member is disposed about the channel.

In some aspects, the housing may have an upper surface defining anaperture in communication with the channel.

In some aspects, the light member may be disposed adjacent the aperture.

In some aspects, the upper surface of the housing may be clear toprovide visual access of the light member.

In some aspects, the housing may be detachable from the proximal endportion of the elongated body portion to allow for the selectivecoupling of an obturator assembly to the proximal end portion of theelongate body portion.

In some aspects, the cannula assembly may further include a light pipeextending through the elongated body portion and configured to transferlight emitted from the light member to a distal end portion of theelongated body portion.

In some aspects, the light pipe may have a proximal end portion disposedadjacent the light member, and a distal end portion disposed adjacentthe distal end portion of the elongated body portion.

In some aspects, the cannula assembly may further include a batteryelectrically coupled to the light member for powering the light member.

In some aspects, the light member may include a light-emitting-diode(LED).

In some aspects, the light member may be disposed within the housing.

Further scope of applicability of the present disclosure will becomeapparent from the detailed description given hereinafter. However, itshould be understood that the detailed description and specificexamples, while indicating embodiments of the present disclosure, aregiven by way of illustration only, since various changes andmodifications within the spirit and scope of the present disclosure willbecome apparent to those skilled in the art from this detaileddescription.

BRIEF DESCRIPTION OF THE DRAWINGS

The accompanying drawings, which are incorporated in and constitute apart of this specification, illustrate embodiments of the disclosureand, together with a general description of the disclosure given above,and the detailed description of the embodiment(s) given below, serve toexplain the principles of the disclosure, wherein:

FIG. 1 is a perspective view, with parts separated, of an exemplaryembodiment of a trocar assembly including a cannula assembly and anobturator assembly; and

FIG. 2 is a top, perspective view of the cannula assembly of FIG. 1.

The figures depict embodiments of the present disclosure for purposes ofillustration only. One skilled in the art will readily recognize fromthe following discussion that alternative embodiments of the structuresand methods illustrated herein may be employed without departing fromthe principles of the present disclosure described herein.

DETAILED DESCRIPTION

Embodiments of the present disclosure are described hereinbelow withreference to the accompanying drawings. However, it is to be understoodthat the disclosed embodiments are merely exemplary of the disclosureand may be embodied in various forms. Well-known functions orconstructions are not described in detail to avoid obscuring the presentdisclosure in unnecessary detail. Therefore, specific structural andfunctional details disclosed herein are not to be interpreted aslimiting, but merely as a basis for the claims and as a representativebasis for teaching one skilled in the art to variously employ thepresent disclosure in virtually any appropriately detailed structure.

For the purposes of promoting an understanding of the principles of thepresent disclosure, reference will now be made to the exemplaryembodiments illustrated in the drawings, and specific language will beused to describe the same. It will nevertheless be understood that nolimitation of the scope of the present disclosure is thereby intended.Any alterations and further modifications of the inventive featuresillustrated herein, and any additional applications of the principles ofthe present disclosure as illustrated herein, which would occur to oneskilled in the relevant art and having possession of this disclosure,are to be considered within the scope of the present disclosure.

The present disclosure, in accordance with various example embodimentsthereof, relates to an optical trocar system that provides access to abody cavity through an anatomical, e.g., abdominal, wall. It should benoted that, for the purposes of this description, the term opticaltrocar system may be used herein synonymously with the term visualobturator system. Advantageously, the optical trocar system of thepresent disclosure, in accordance with various embodiments thereof,includes a cannula assembly having a ring of LEDs disposed near anopening of an elongated body portion of the cannula assembly. The ringof LEDs assists a clinician in guiding the surgical instrument into theopening of the elongated body portion. The cannula assembly may furtherinclude a light pipe extending from the ring of LEDs to a distal endportion of the elongated body portion to carry light from the ring ofLEDs to the distal end portion.

Referring now to FIGS. 1 and 2, there is illustrated an optical trocar,e.g., visual obturator, system or assembly 10 in accordance with anembodiment of the present disclosure. The visual obturator system 10 isintended for separating tissue planes in an endoscopic, e.g.,laparoscopic, surgical procedure, and, is particularly suitable for theblunt dissection of the abdominal lining during a surgical procedure.The visual obturator system 10 is adapted to receive an endoscope topermit viewing of tissue during the insertion and advancement of thevisual obturator system 10 toward the operative site. The visualobturator system 10 is also adapted to receive any other suitablesurgical instrument for performing a surgical procedure at the operativesite.

For a detailed description of an exemplary visual obturator system,reference may be made to U.S. Pat. No. 10,022,149, filed on Mar. 23,2015, the entire contents of which are incorporated by reference herein.

In accordance with the embodiment shown, the visual obturator system 10generally includes an obturator assembly 11 and a cannula assembly 30which at least partially receives the obturator assembly 11. Theobturator assembly 11 of the visual obturator system 10 includes anobturator housing assembly 12 selectively connectable with an elongatedobturator shaft 14 of the obturator assembly 11. The obturator housingassembly 12 includes an outer housing 12 a, and an inner housing 12 bsupported on a proximal end portion of the elongated obturator shaft 14.The outer housing 12 a may be constructed from two half-sections joinedto one another. The outer housing 12 a defines a cavity 16 therein inwhich the inner housing 12 b is situated. The inner housing 12 b definesa central passageway 18 extending longitudinally therethrough that iscoaxial with a longitudinal axis “A-A” defined by the elongatedobturator shaft 14. The elongated obturator shaft 14 extends distallyfrom the obturator housing assembly 12 and may be rigid, e.g., metal.The elongated obturator shaft 14 may be attached, e.g., by over moldingthereto, at its proximal end portion to the obturator housing assembly12 and at its distal end portion to an optical member 20.

The cannula assembly 30 of the visual obturator system 10 includes anelongated body portion 32 defining a longitudinal axis “B-B,” and ahousing assembly 37 detachably connected to a proximal end portion 32 aof the elongated body portion 32. The elongated body portion 32 may befabricated from a polymeric material, e.g., polycarbonate, and may betransparent, or at least semi-transparent, to permit passage of lightrays. The elongated body portion 32 permits the passage of light rays toenable viewing of tissue during a surgical procedure. In otherembodiments, the elongated body portion 32 may be opaque.

The cannula housing assembly 37 of the cannula assembly 30 and theobturator housing assembly 12 of the obturator assembly 11 may beselectively interchangeably connected to the proximal end portion 32 aof the elongated body portion 32. For example, since the obturatorassembly 11 is configured to receive a viewing instrument (e.g., anendoscope), the obturator housing assembly 12 may be connected to theproximal end portion 32 a of the elongated body portion 32 duringadvancement of the optical trocar assembly 10 toward the operative site.During the performance of a surgical procedure using a surgicalinstrument (e.g., a suture passer), the cannula housing assembly 37 maybe connected to the proximal end portion 32 a of the elongated bodyportion 32.

The cannula housing assembly 37 is configured to provide a seal about asurgical instrument (e.g., a suture passer) inserted therethrough andprevent gasses from exiting the proximal end of the cannula assembly 30in the absence of a surgical instrument positioned therein. The housingassembly 37 includes a cover 38 coupled to the proximal end portion 32 aof the elongated body portion 32, and a housing 40 coupled to the cover38. In embodiments, the housing 40 and cover 38 may be an integral unit.The cover 38 defines a central channel 42 therethrough to permit passageof a surgical instrument into a channel 44 defined through the elongatedbody portion 32.

The housing 40 of the housing assembly 37 is detachably coupled to aproximal end portion of the cover 38. In embodiments, the housing 40 ofthe housing assembly 37 may be directly coupled to the proximal endportion 32 a of the elongated body portion 32 instead of the cover 38.The housing 40 defines a longitudinally-extending channel 46therethrough dimensioned for passage of a surgical instrument. Uponcoupling the housing 40 to the cover 38, the channels 46, 42, 44 of thehousing 40, the cover 38, and the elongated body portion 32,respectively, are coaxial. In embodiments, the housing assembly 37 mayfurther include a seal member, such as, for example, a valve (not shown)to prevent fluids from exiting a proximal end of the cannula assembly30.

The housing 40 has a clear upper surface 48 defining an aperture 50 incommunication with the channel 46 to provide access into the channel 46.In embodiments, a valve (not shown) may be provided in the aperture 50to permit entry of a surgical instrument into the channel 46 of thehousing 40 while preventing fluids from exiting the channel 46 of thehousing 40.

The housing assembly 37 further includes an annular-shaped light member52 and a battery 54 electrically coupled to one another and disposedwithin the housing 40. In embodiments, the light member 52 and/or thebattery 54 may be disposed outside of the housing 40. The light member52 may include a plurality of lights, such as, for example,light-emitting-diodes (LEDs”) arranged in a ring to at least partiallysurround the aperture 50 in the upper surface 48 of the housing 40. Inother embodiments, the light member 52 may include one or moreincandescent lights or fluorescent lights arranged in a ring. The lightmember 52 may be disposed on the clear upper surface 48 of the housing40 or any suitable location within the housing 40 while also surroundingthe channel 46 of the housing 40. By positioning the light member 52 soit appears around the aperture 50, a clinician will have a visualindication of the location of the aperture 50 to assist in guiding asurgical instrument into the cannula assembly 30.

The cannula assembly 30 further includes a light pipe 58 extendingthrough the elongated body portion 32 and configured to transfer lightemitted from the light member 52 to the distal tip 56 of the elongatedbody portion 32. The light pipe 58 may be a flexible or rigid hollowtube fabricated from a material suitable for transmitting light, suchas, for example, acrylic or polycarbonate. In other embodiments, thelight pipe 58 may be an optical fiber or fibers. The light pipe 58 has aproximal end portion 58 a disposed adjacent the light member 52, and adistal end portion 58 b disposed adjacent the distal tip 56 of theelongated body portion 32. The proximal end portion 58 a of the lightpipe 58 extends through the housing assembly 37 and may receive thelight member 52. The distal end portion 58 b of the light pipe 58terminates within the distal tip 56 of the elongated body portion 32. Itis contemplated that the light pipe 58 may have markings or cuts (notshown) along a length thereof configured to emit a greater intensity oflight than the remainder of the light pipe 58 to provide a visualindication of the depth of the cannula assembly 30 or the location ofvarious segments of the cannula assembly 30.

The operation of the optical trocar system 10 and, specifically thecannula assembly 30, will now be described. The obturator shaft 14 ofthe obturator assembly 11 may be positioned through the elongated bodyportion 32 of the cannula assembly 30 and the obturator housing assembly12 of the obturator assembly 11 may be connected to the proximal endportion 32 a of the elongated body portion 32 of the cannula assembly30. The assembled optical trocar system 10 is positioned within aninitial incision and against targeted tissue, e.g., an abdominal lining.A viewing instrument, such as an endoscope (not shown), may be insertedthrough the obturator housing assembly 12 of the obturator assembly 11to assist in guiding the distal tip 56 of the elongated body portion 32to the operative site.

Upon positioning the distal tip 56 of the elongated body portion 32 atthe operative site, the obturator assembly 11 may be detached from theproximal end portion 32 a of the elongated body portion 32 and replacedwith the housing assembly 37. With the housing assembly 37 attached tothe proximal end portion 32 a of the elongated body portion 32, a switchon the housing 40, such as, for example, a pull-tab (not shown), may beactivated to transfer power from the battery 54 to the light member 52,thereby generating a ring of light about the aperture 50 in the housing40. A clinician, using the ring of light generated by the light member52 as a guide, may position a surgical instrument into the cannulaassembly 30 via the aperture 50. The light pipe 58 directs the lightfrom the light member 52 toward the distal tip 56 of the elongated bodyportion 32 to assist the clinician during the surgical procedure.

While several embodiments of the disclosure have been shown in thedrawings, it is not intended that the disclosure be limited thereto, asit is intended that the disclosure be as broad in scope as the art willallow and that the specification be read likewise. Therefore, the abovedescription should not be construed as limiting, but merely asexemplifications of presently disclosed embodiments. Thus the scope ofthe embodiments should be determined by the appended claims and theirlegal equivalents, rather than by the examples given.

Persons skilled in the art will understand that the devices and methodsspecifically described herein and illustrated in the accompanyingdrawings are non-limiting exemplary embodiments. The featuresillustrated or described in connection with one exemplary embodiment maybe combined with the features of other embodiments. Such modificationsand variations are intended to be included within the scope of thepresent disclosure. As well, one skilled in the art will appreciatefurther features and advantages of the present disclosure based on theabove-described embodiments. Accordingly, the present disclosure is notto be limited by what has been particularly shown and described, exceptas indicated by the appended claims.

What is claimed is:
 1. A cannula assembly configured to receive asurgical instrument therethrough, the cannula assembly comprising: anelongated body portion; a housing coupled to a proximal end portion ofthe elongated body portion, the housing defining alongitudinally-extending channel therethrough dimensioned for passage ofa surgical instrument; a light pipe having a proximal end portionreceived within and attached to the housing, the light pipe extendingdistally from the housing and configured for receipt in the elongatedbody portion; and an annular-shaped light member at least partiallyencircling the channel.
 2. The cannula assembly according to claim 1,wherein the light member is attached to the housing.
 3. The cannulaassembly according to claim 1, wherein the housing has an upper surfacedefining an aperture in communication with the channel, the light memberbeing disposed adjacent the aperture.
 4. The cannula assembly accordingto claim 3, wherein the upper surface of the housing is optically clearto provide visual access of the light member.
 5. The cannula assemblyaccording to claim 1, wherein the housing is detachable from theproximal end portion of the elongated body portion to allow for theselective coupling of an obturator assembly to the proximal end portionof the elongate body portion.
 6. The cannula assembly according to claim1, wherein the light pipe is configured to transfer light emitted fromthe light member to a distal end portion of the elongated body portion.7. The cannula assembly according to claim 6, wherein the proximal endportion of the light pipe is disposed adjacent the light member, and thelight pipe has a distal end portion disposed adjacent the distal endportion of the elongated body portion.
 8. The cannula assembly accordingto claim 1, wherein the light member includes a plurality oflight-emitting-diodes (LEDs).
 9. The cannula assembly according to claim1, wherein the light member is disposed within the housing.
 10. Thecannula assembly according to claim 1, wherein the proximal end portionof the light pipe has the light member received therein.
 11. The cannulaassembly according to claim 1, wherein the light pipe has a plurality ofmarkings along a length thereof, each marking of the plurality ofmarkings is configured to emit a greater intensity of light than theremainder of the light pipe.
 12. The cannula assembly according to claim1, further comprising a cover intercoupling the proximal end portion ofthe elongated body portion and the housing.
 13. The cannula assemblyaccording to claim 12, wherein the housing is configured to bedetachably coupled to the cover.
 14. A visual obturator systemcomprising: an obturator assembly including: an obturator housingassembly; and an elongated obturator shaft extending distally from theobturator housing assembly, the elongated obturator shaft defining alongitudinally-extending channel dimensioned for passage of a viewinginstrument; and a cannula assembly including: an elongated body portion;a housing defining a longitudinally-extending channel therethroughdimensioned for passage of a surgical instrument; and an annular-shapedlight member attached to the housing and disposed about the channel,wherein the obturator housing assembly of the obturator assembly and thehousing of the cannula assembly are configured to selectivelyinterchangeably connect to the proximal end portion of the elongatedbody portion.
 15. The visual obturator system according to claim 14,wherein the cannula assembly further includes a cover configured todetachably couple to the proximal end portion of the elongated bodyportion, the housing being configured to be detachably coupled to thecover.
 16. The visual obturator system according to claim 14, whereinthe cannula assembly further includes a light pipe having a proximal endportion received within and attached to the housing, the light pipeextending distally from the housing and configured for receipt in theelongated body portion.
 17. The visual obturator system according toclaim 16, wherein the proximal end portion of the light pipe has thelight member received therein.
 18. The visual obturator system accordingto claim 14, wherein the housing has an upper surface defining anaperture in communication with the channel, the light member beingdisposed adjacent the aperture.
 19. The visual obturator systemaccording to claim 18, wherein the upper surface of the housing isoptically clear to provide visual access of the light member.
 20. Thevisual obturator system according to claim 14, wherein the light memberis disposed within the housing.